Pujas and Distant Healing Request Form

 

Name:

Address:

Birth date:

Detailed description of my difficulty:

 

  

I wish to accomplish:

 

 

I have enclosed the following:

     a recent (non-returnable) photo

    a $25 donation to cover the cost of materials

We request that you consider an additional offering as an expression of gratitude.  

     I am interested in having the Sed-Gyued Tantric College in India or Nepal fulfill my request. Please advise me as to an appropriate offering.

 

 Please mail your request and donation to:

Healing Buddha Foundation, P.O. Box 87, Sebastopol, CA 95473, U.S.A.